Skip to main content
Top

Open Access 09-01-2025 | Breast Cancer | Research

Dual targeting of HSP90 and BCL-2 in breast cancer cells using inhibitors BIIB021 and ABT-263

Authors: Nazan Gökşen Tosun, Özlem Kaplan

Published in: Breast Cancer Research and Treatment

Login to get access

Abstract

Purpose:

The incidence of breast cancer has been increasing in recent years, and monotherapy approaches are not sufficient alone in the treatment of breast cancer. In the combined therapy approach, combining two or three different agents in lower doses can mitigate the side effects on living cells and tissues caused by high doses of chemical agents used alone. ABT-263 (navitoclax), a clinically tested Bcl-2 family protein inhibitor, has shown limited success in clinical trials due to the development of resistance to monotherapy in breast cancer cells. This resistance shows that monotherapy approaches are inadequate and more effective treatment strategies are needed. It is the ability of HSP90 inhibitors to destabilize many oncoproteins that are critical for the survival of cancer cells. This study aimed to examine the anticancer activity of the combination of ABT-263 with BIIB021, a new generation HSP90 inhibitor, on two widely used breast cancer cell lines: MCF-7 (ER-positive) and MDA-MB-231 (triple-negative breast cancer, TNBC). These cell lines were selected to represent distinct breast cancer subtypes with different molecular characteristics and clinical behaviors.

Methods:

Single and combined cytotoxic effects of this agents on MCF-7 and MDA-MB-231 breast cancer cell lines were determined using the MTT cell viability test. The combined use of these two agents showed a synergistic effect, and this effect was assigned using the Chou and Talalay method. mRNA and protein levels of apoptosis-related genes Bax, Bcl-2, Casp9, and Heat Shock Proteins HSP27, HSP70, and HSP90 were analyzed using Quantitative Real-Time Polymerase Chain Reaction (qRT-PCR) and Western Blotting, respectively.

Results:

The cytotoxicity analysis, combined with the application of the Chou-Talalay method, demonstrated that the BIIB021 and ABT-263 combination exhibited significantly greater anticancer activity compared to the individual effects of either BIIB021 or ABT-263 in breast cancer cell lines. The analysis of mRNA and protein levels indicated that the BIIB021+ABT-263 combination may have triggered the intrinsic apoptotic pathway in breast cancer cells.

Conclusion:

This study showed that co-administration of ABT-263 and BIIB021 agents exhibited synergistic cytotoxic effects and increased the expression of apoptosis-related genes in breast cancer cell lines

Graphical abstract

Literature
2.
go back to reference Fuentes JDB, Morgan E, de Luna AA, Mafra A, Shah R, Giusti F et al (2024) Global stage distribution of breast cancer at diagnosis: a systematic review and meta-analysis. JAMA Oncol 10:71–78CrossRef Fuentes JDB, Morgan E, de Luna AA, Mafra A, Shah R, Giusti F et al (2024) Global stage distribution of breast cancer at diagnosis: a systematic review and meta-analysis. JAMA Oncol 10:71–78CrossRef
3.
go back to reference Arnold M, Morgan E, Rumgay H, Mafra A, Singh D, Laversanne M et al (2022) Current and future burden of breast cancer: Global statistics for 2020 and 2040. The Breast 66:15–23CrossRefPubMedPubMedCentral Arnold M, Morgan E, Rumgay H, Mafra A, Singh D, Laversanne M et al (2022) Current and future burden of breast cancer: Global statistics for 2020 and 2040. The Breast 66:15–23CrossRefPubMedPubMedCentral
6.
go back to reference Lainetti PdF, Leis-Filho AF, Laufer-Amorim R, Battazza A, Fonseca-Alves CE (2020) Mechanisms of resistance to chemotherapy in breast cancer and possible targets in drug delivery systems. Pharmaceutics 12:1193CrossRefPubMedPubMedCentral Lainetti PdF, Leis-Filho AF, Laufer-Amorim R, Battazza A, Fonseca-Alves CE (2020) Mechanisms of resistance to chemotherapy in breast cancer and possible targets in drug delivery systems. Pharmaceutics 12:1193CrossRefPubMedPubMedCentral
7.
go back to reference Chen J, Jin S, Abraham V, Huang X, Liu B, Mitten MJ et al (2011) The Bcl-2/Bcl-XL/Bcl-w inhibitor, navitoclax, enhances the activity of chemotherapeutic agents in vitro and in vivo. Mol Cancer Ther 10:2340–2349CrossRefPubMed Chen J, Jin S, Abraham V, Huang X, Liu B, Mitten MJ et al (2011) The Bcl-2/Bcl-XL/Bcl-w inhibitor, navitoclax, enhances the activity of chemotherapeutic agents in vitro and in vivo. Mol Cancer Ther 10:2340–2349CrossRefPubMed
8.
go back to reference Mohamad Anuar NN, Nor Hisam NS, Liew SL, Ugusman A (2020) Clinical review: Navitoclax as a Pro-Apoptotic and Anti-Fibrotic Agent. Front Pharmacol 11:564108 Mohamad Anuar NN, Nor Hisam NS, Liew SL, Ugusman A (2020) Clinical review: Navitoclax as a Pro-Apoptotic and Anti-Fibrotic Agent. Front Pharmacol 11:564108
9.
go back to reference Nor Hisam NS, Ugusman A, Rajab NF, Ahmad MF, Fenech M, Liew SL et al (2021) Combination therapy of navitoclax with chemotherapeutic agents in solid tumors and blood cancer: a review of current evidence. Pharmaceutics 13:1353CrossRefPubMedPubMedCentral Nor Hisam NS, Ugusman A, Rajab NF, Ahmad MF, Fenech M, Liew SL et al (2021) Combination therapy of navitoclax with chemotherapeutic agents in solid tumors and blood cancer: a review of current evidence. Pharmaceutics 13:1353CrossRefPubMedPubMedCentral
10.
go back to reference Cleary JM, Lima CMSR, Hurwitz HI, Montero AJ, Franklin C, Yang J et al (2014) A phase I clinical trial of navitoclax, a targeted high-affinity Bcl-2 family inhibitor, in combination with gemcitabine in patients with solid tumors. Invest New Drugs 32:937–945CrossRefPubMed Cleary JM, Lima CMSR, Hurwitz HI, Montero AJ, Franklin C, Yang J et al (2014) A phase I clinical trial of navitoclax, a targeted high-affinity Bcl-2 family inhibitor, in combination with gemcitabine in patients with solid tumors. Invest New Drugs 32:937–945CrossRefPubMed
11.
go back to reference Gandhi L, Camidge DR, De Oliveira MR, Bonomi P, Gandara D, Khaira D et al (2011) Phase I study of Navitoclax (ABT-263), a novel Bcl-2 family inhibitor, in patients with small-cell lung cancer and other solid tumors. J Clin Oncol 29:909CrossRefPubMedPubMedCentral Gandhi L, Camidge DR, De Oliveira MR, Bonomi P, Gandara D, Khaira D et al (2011) Phase I study of Navitoclax (ABT-263), a novel Bcl-2 family inhibitor, in patients with small-cell lung cancer and other solid tumors. J Clin Oncol 29:909CrossRefPubMedPubMedCentral
12.
go back to reference Kipps TJ, Eradat H, Grosicki S, Catalano J, Cosolo W, Dyagil IS et al (2015) A phase 2 study of the BH3 mimetic BCL2 inhibitor navitoclax (ABT-263) with or without rituximab, in previously untreated B-cell chronic lymphocytic leukemia. Leuk Lymphoma 56:2826–2833CrossRefPubMedPubMedCentral Kipps TJ, Eradat H, Grosicki S, Catalano J, Cosolo W, Dyagil IS et al (2015) A phase 2 study of the BH3 mimetic BCL2 inhibitor navitoclax (ABT-263) with or without rituximab, in previously untreated B-cell chronic lymphocytic leukemia. Leuk Lymphoma 56:2826–2833CrossRefPubMedPubMedCentral
17.
go back to reference Schopf FH, Biebl MM, Buchner J (2017) The HSP90 chaperone machinery. Nat Rev Mol Cell Biol 18:345–360CrossRefPubMed Schopf FH, Biebl MM, Buchner J (2017) The HSP90 chaperone machinery. Nat Rev Mol Cell Biol 18:345–360CrossRefPubMed
18.
go back to reference Lianos GD, Alexiou GA, Mangano A, Mangano A, Rausei S, Boni L et al (2015) The role of heat shock proteins in cancer. Cancer Lett 360:114–118CrossRefPubMed Lianos GD, Alexiou GA, Mangano A, Mangano A, Rausei S, Boni L et al (2015) The role of heat shock proteins in cancer. Cancer Lett 360:114–118CrossRefPubMed
20.
go back to reference Giménez Ortiz A, Montalar Salcedo J (2010) Heat shock proteins as targets in oncology. Clin Transl Oncol 12:166–173CrossRefPubMed Giménez Ortiz A, Montalar Salcedo J (2010) Heat shock proteins as targets in oncology. Clin Transl Oncol 12:166–173CrossRefPubMed
23.
go back to reference Sidera K, Patsavoudi E (2014) HSP90 inhibitors: current development and potential in cancer therapy. Recent Pat Anti-Cancer Drug Discov 9:1–20CrossRef Sidera K, Patsavoudi E (2014) HSP90 inhibitors: current development and potential in cancer therapy. Recent Pat Anti-Cancer Drug Discov 9:1–20CrossRef
24.
go back to reference Costa TE, Raghavendra NM, Penido C (2020) Natural heat shock protein 90 inhibitors in cancer and inflammation. Eur J Med Chem 189:112063CrossRefPubMed Costa TE, Raghavendra NM, Penido C (2020) Natural heat shock protein 90 inhibitors in cancer and inflammation. Eur J Med Chem 189:112063CrossRefPubMed
27.
28.
go back to reference Li L, Wang L, You Q-D, Xu X-L (2019) Heat shock protein 90 inhibitors: an update on achievements, challenges, and future directions. J Med Chem 63:1798–1822CrossRefPubMed Li L, Wang L, You Q-D, Xu X-L (2019) Heat shock protein 90 inhibitors: an update on achievements, challenges, and future directions. J Med Chem 63:1798–1822CrossRefPubMed
29.
go back to reference Dickson M, Okuno S, Keohan M, Maki R, D’adamo D, Akhurst T et al (2013) Phase II study of the HSP90-inhibitor BIIB021 in gastrointestinal stromal tumors. Ann Oncol 24:252–257CrossRefPubMed Dickson M, Okuno S, Keohan M, Maki R, D’adamo D, Akhurst T et al (2013) Phase II study of the HSP90-inhibitor BIIB021 in gastrointestinal stromal tumors. Ann Oncol 24:252–257CrossRefPubMed
32.
go back to reference He W, Hu H (2018) BIIB021, an Hsp90 inhibitor: a promising therapeutic strategy for blood malignancies. Oncol Rep 40:3–15PubMed He W, Hu H (2018) BIIB021, an Hsp90 inhibitor: a promising therapeutic strategy for blood malignancies. Oncol Rep 40:3–15PubMed
34.
go back to reference Kaplan Ö, Gök MK, Pekmez M, Erden Tayhan S, Özgümüş S, Gökçe İ et al (2024) Development of recombinant protein-based nanoparticle systems for inducing tumor cell apoptosis: In vitro evaluation of their cytotoxic and apoptotic effects on cancer cells. J Drug Deliv Sci Technol 95:105565. https://doi.org/10.1016/j.jddst.2024.105565CrossRef Kaplan Ö, Gök MK, Pekmez M, Erden Tayhan S, Özgümüş S, Gökçe İ et al (2024) Development of recombinant protein-based nanoparticle systems for inducing tumor cell apoptosis: In vitro evaluation of their cytotoxic and apoptotic effects on cancer cells. J Drug Deliv Sci Technol 95:105565. https://​doi.​org/​10.​1016/​j.​jddst.​2024.​105565CrossRef
36.
go back to reference Oakes SR, Vaillant F, Lim E, Lee L, Breslin K, Feleppa F et al (2012) Sensitization of BCL-2–expressing breast tumors to chemotherapy by the BH3 mimetic ABT-737. Proc Natl Acad Sci 109:2766–2771CrossRefPubMed Oakes SR, Vaillant F, Lim E, Lee L, Breslin K, Feleppa F et al (2012) Sensitization of BCL-2–expressing breast tumors to chemotherapy by the BH3 mimetic ABT-737. Proc Natl Acad Sci 109:2766–2771CrossRefPubMed
37.
go back to reference Vaillant F, Merino D, Lee L, Breslin K, Pal B, Ritchie ME et al (2013) Targeting BCL-2 with the BH3 mimetic ABT-199 in estrogen receptor-positive breast cancer. Cancer Cell 24:120–129CrossRefPubMed Vaillant F, Merino D, Lee L, Breslin K, Pal B, Ritchie ME et al (2013) Targeting BCL-2 with the BH3 mimetic ABT-199 in estrogen receptor-positive breast cancer. Cancer Cell 24:120–129CrossRefPubMed
40.
go back to reference Zhang N, Fu JN, Chou TC (2016) Synergistic combination of microtubule targeting anticancer fludelone with cytoprotective panaxytriol derived from panax ginseng against MX-1 cells in vitro: experimental design and data analysis using the combination index method. Am J Cancer Res 6:97–104PubMed Zhang N, Fu JN, Chou TC (2016) Synergistic combination of microtubule targeting anticancer fludelone with cytoprotective panaxytriol derived from panax ginseng against MX-1 cells in vitro: experimental design and data analysis using the combination index method. Am J Cancer Res 6:97–104PubMed
49.
go back to reference Beere HM, Wolf BB, Cain K, Mosser DD, Mahboubi A, Kuwana T et al (2000) Heat-shock protein 70 inhibits apoptosis by preventing recruitment of procaspase-9 to the Apaf-1 apoptosome. Nat Cell Biol 2:469–475CrossRefPubMed Beere HM, Wolf BB, Cain K, Mosser DD, Mahboubi A, Kuwana T et al (2000) Heat-shock protein 70 inhibits apoptosis by preventing recruitment of procaspase-9 to the Apaf-1 apoptosome. Nat Cell Biol 2:469–475CrossRefPubMed
50.
Metadata
Title
Dual targeting of HSP90 and BCL-2 in breast cancer cells using inhibitors BIIB021 and ABT-263
Authors
Nazan Gökşen Tosun
Özlem Kaplan
Publication date
09-01-2025
Publisher
Springer US
Published in
Breast Cancer Research and Treatment
Print ISSN: 0167-6806
Electronic ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-024-07587-1

ASH 2024 Annual Meeting Coverage

inMIND supports tafasitamab addition in follicular lymphoma

Combining tafasitamab with lenalidomide and rituximab significantly improves progression-free survival for patients with relapsed or refractory follicular lymphoma.

Featuring the official presentation video

Read more
SPONSORED

Recent advances in the use of CAR T-cell therapies in relapsed/refractory diffuse large B-cell lymphoma and follicular lymphoma

In this webinar, Professor Martin Dreyling and an esteemed international panel of CAR T-cell therapy experts discuss the latest data on the safety, efficacy, and clinical impact of CAR T-cell therapies in the treatment of r/r DLBCL and r/r FL.

Please note, this webinar is not intended for healthcare professionals based in the US and UK.

Sponsored by:
  • Novartis Pharma AG
Chaired by: Prof. Martin Dreyling
Developed by: Springer Healthcare
Watch now